Individual
GEORGE EDWARD MARCUS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8764 ORTEGA PARK DR, NAVARRE, FL 32566-4139
(850) 407-3646
(850) 407-3648
Mailing address
6608 TIDEWATER DR, NAVARRE, FL 32566-7465
(615) 426-5760
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2007
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
08/30/2011
Last updated
02/15/2023
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